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Antipsychotics: Dr. Pagan Pambudi, M.Si, SP.S
Antipsychotics: Dr. Pagan Pambudi, M.Si, SP.S
Increase creatin
kinase > 300 U/ml Leucocytosis > 15000
NMS
RIGIDITY AUTONOMIC
INSTABILITY
Endocrine and Sexual Effects
• Hyperprolactinemia
– High: Risperidone, amilsupride
– Moderate: FGA
– Low: Clozapine, olanzapine, quetiapine,
ziprasidone
– None: aripiprazole
Endocrine and Sexual Effects
• Hyperprolactenemia can cause:
– Woman:
• menstrual disturbances,
• including anovulatory cycles and infertility,
• menses with abnormal luteal phases,
• frank amenorrhea and hypoestrogenemia.
• decreased libido and anorgasmia
• Ginecomastia
• Galactorhea
Endocrine and Sexual Effects
Hyperprolactenemia can cause:
• Man
– loss of libido, impotence, hypospermatogenesis,
– and erectile or ejaculatory disturbances.
– Ginecomastia
– Galactorrhea
Metabolic Effect
Weight gain Blood glucose Lipids Blood pressure
Clozapine Clozapine Clozapine Clozapine
Olanzapine Olanzapine Olanzapine Olanzapine
Risperidone Quetiapine
Risperidone
FGA low potency
Clozapine
Combination Therapy
e.g., SGA + FGA, combination
of SGAs, (FGA or SGA) + ECT, (FGA or SGA)
+ other agent (e.g., mood stabilizer)